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Laboratory Errors in Fixed Prostheses Quality

This review highlights the critical role of laboratory procedures in the quality of fixed prostheses, such as crowns and bridges, and identifies common errors that can compromise their success. It discusses various types of laboratory errors, their causes, and preventative measures to minimize these issues. The conclusion emphasizes the importance of established protocols and technician training to enhance the quality and longevity of fixed prostheses.

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abdelrahmanbarakat142
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44 views2 pages

Laboratory Errors in Fixed Prostheses Quality

This review highlights the critical role of laboratory procedures in the quality of fixed prostheses, such as crowns and bridges, and identifies common errors that can compromise their success. It discusses various types of laboratory errors, their causes, and preventative measures to minimize these issues. The conclusion emphasizes the importance of established protocols and technician training to enhance the quality and longevity of fixed prostheses.

Uploaded by

abdelrahmanbarakat142
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Impact of Laboratory Errors on Fixed Prosthesis Quality: A Review

ABSTRACT
Fixed prostheses, including crowns and bridges, are a cornerstone of restorative dentistry. While the
clinical aspects are crucial, the success of these restorations relies heavily on meticulous laboratory
procedures. This review examines various laboratory errors that can compromise the quality of fixed
prostheses and explores strategies to minimize their occurrence.

KEYWORDS
Fixed prosthesis, dental crown, bridge, laboratory errors, casting defects, design, processing, finishing,
equipment, materials, impression handling.

INTRODUCTION
Fixed prostheses offer a dependable solution for replacing missing or damaged teeth. The laboratory
phase plays a vital role, transforming impressions and clinical information into functional and
aesthetically pleasing restorations. However, errors introduced during this stage can significantly impact
the final product. This review aims to identify common laboratory errors associated with fixed
prostheses and discuss preventative measures to ensure optimal outcomes.

Incomplete casting metal mold isn't filled properly.

Reasons Not heating the metal enough, Wax not fully removed from the mold,
Mold cooling too quickly, Not enough force when pouring the metal, Not
enough metal use, shortage of sprues

How to Prevent Heat the metal properly, eliminate all wax, use enough force
and sprue length, adding reservoir to the sprue, placing sprue at 45 degrees

Back pressure porosity

Reasons short sprue or inadequate venting

Prevented by using a 6mm sprue

Distorted Restoration

Reasons distortion of wax pattern before investment or delayed investing


Surface roughness

Reasons H2 releasing silicone impression, air bubbles on wax


pattern during investment, not using wetting agent, improper
vacuum investing

Fractured investment

Reasons longer than needed sprue > 6mm

Dimensional inaccuracy

Reasons if the mold expands or shrinks too much due to using wrong type of investment
material or temperature, The restoration needs to be remade.

Prevented by using phosphate bonded investment with water or gypsum bonded investment
with base metal alloy and using phosphate bonded investment with special liquid or silicate
bonded investment with gold restoration

Shrinkage Spot porosity

Reasons using a thin sprue

CONCLUSION
Laboratory errors pose a significant threat to the quality and longevity of fixed prostheses. By
implementing preventative measures, including established protocols, advanced design software,
proper equipment maintenance, technician training, and adherence to impression handling guidelines,
dental laboratories can minimize errors and ensure the delivery of high-quality fixed prostheses.

REFERENCES
Craig`s restorative dental materials

Richard Von Noort; Introduction to dental materials Abdelrahman


Barakat
Phillip’s dental materials
Oliver Sacks

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